Nursing care, including non-pharmacologic interventions
Assess:
-Bleeding color and amount -Perineum for lacerations or hematomas -VS (related to blood loss i.e. Tachycardia, tachypnea, lowering BP, capillary refill, skin color/temp) -Lab values Hemoglobin, hematocrit -Dehydration from blood volume loss (skin turgor) -Level of consciousness (hypoxia)
Early recognition and Dx is critical.
Outcomes include:
-Normal VS -Fluid balance -No related complications -Pt. verbalizes understanding of condition and discharge instructions -Pt. IDs support systems
Nursing interventions include:
-Massaging fundus -Expression of clots -Eliminate bladder distention -Provide IV fluid or blood replacement -Give O2 and maintain airway. -Monitor I/O -Provide discharge info (may feel fatigued, limit activities (conserve strength, increase iron and protein) -Provide info on all procedures and use therapeutic communication.
References
Perry, S., Hockenberry, M., Lowdermilk, D., & Wilson, D. (2010). Maternal child nursing care. (4 ed., pp. 576-579). Maryland Heights, MO: Mosby Elsevier.
Nursing care, including non-pharmacologic interventions
Assess:
-Bleeding color and amount-Perineum for lacerations or hematomas
-VS (related to blood loss i.e. Tachycardia, tachypnea, lowering BP, capillary refill, skin color/temp)
-Lab values Hemoglobin, hematocrit
-Dehydration from blood volume loss (skin turgor)
-Level of consciousness (hypoxia)
Early recognition and Dx is critical.
Outcomes include:
-Normal VS-Fluid balance
-No related complications
-Pt. verbalizes understanding of condition and discharge instructions
-Pt. IDs support systems
Nursing interventions include:
-Massaging fundus-Expression of clots
-Eliminate bladder distention
-Provide IV fluid or blood replacement
-Give O2 and maintain airway.
-Monitor I/O
-Provide discharge info (may feel fatigued, limit activities (conserve strength, increase iron and protein)
-Provide info on all procedures and use therapeutic communication.
References
Perry, S., Hockenberry, M., Lowdermilk, D., & Wilson, D. (2010). Maternal child nursing care. (4 ed., pp. 576-579). Maryland Heights, MO: Mosby Elsevier.